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PAINTIssue Date: 9125/2006 Owner's Name: JOHNATHAN ROSE Permit Type: Paint Work Classification: New Job Address: 1259 98 Street NE Additional Information Miami Shores Village, FL 33138 Fees Due CCF Education Surcharge Notary Fee Permit Fee Technology Fee Total: Amount $0.60 $0.20 $5.00 $60.00 $1.50 $67.30 Building Department File Copy Applicant Signature Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Permit Expires: 03/24/2007 Contractor(s) Phone COMPLETE HOME PAINTING BY MI 305 - 895 -1368 Yes Primary Contractor Type of Work: Exterior Additional Info: Color: Classification: Residential In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores Village. In accepting this permit I assume responsibility for all work done by either myself, my agent, servants, or employes. I understand that separate permits are required for ELECTRICAL, PLUMBING, MECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work. OWNERS AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Futhermore, I authorize the above -named contractor to do the work stated. Invoice Number PT - 9 - 06 - 26107 Total: Parcel #: Block: Section: Permit Status: APPROVED Permit Number: PT -9 -06 -2312 Total Square Feet: 0 Total Valuation: $ 1,000.00 Re • uired Ins • ections Final SEP 2 8 PAID LI5)43 Amt Due $67.30 Phone: 1132050090250 Lot: PB: Amt Paid 1 NOTICE: In addition to the requirements of this permit, there may be additional restrictions applicable to this property that may be found in the public records of this county. AND THERE MAY BE ADDITIONAL PERMITS REQUIRED FROM OTHER GOVERNMENTAL ENTITIES SUCH AS WATER MANAGEMENT DISTRICTS, STATE AGENCIES, OR FEDERAL AGENCIES. Y i4" 1 el l- € w 0495k) 14toktej BUILDING pq1d0G PERMIT APPLICATION �} FBC 2004 Permit Type (circle): Building Electrical rr Job Address (where the work is being done) / / E q s City Miami Shores 'Village Countyianai -Dade FOLIO / PARCEL # Is Building Historically Designated YES NO Contractor's Company Name C C, Contractor's Address / 4/ 76 tie /-- City / G 41 / State Qualifier Name State Certificate or Registration No. Architect/Engineer's Name (if applicable) Value of Work For this Permit $ Type of Work: [Addition Describe Work: Submittal Fee $ Scanning $ Radon $ Miami Shores Village Building 10050 N.E.2nd Avenue, Miami Shores, Florida 33135 Alteration Permit Fee $ Notary $ � Ol./ Training/Education Fee $ Bond $ Code Enforcement $ Structural Review. $ Tel: (305) 795.2204 Fax: (305) 7561972 *Fees 0 ©- DNew DPBR $ Mast Double Fee $ Total Fee No Pe r Permit Ne. Plumbing Mechanical Roe g O Fee Simple Titleholder) 'Q1l ( P ) fWi Phone # 3�1 154- s2 7 7 �,. O wner's Name wner's Address 12 Sr? N q & City a Wt.l S k/. fS State r zip 3 3 I TenantlL,essee Name Phone # p, Phone # Zip gag Duo $ • r See Reverse side Nrecarglta sEP as Y: rol :77 Zip .3/6/ Phone Certificate of Competency No. 0 /9/ Square / Linear 'Footage' Work; 0 1tepair/Replace 0 Demolition Rae * * * * * * * * * * * * * * * * * * ** CC Technology Fee $ . Zoning SEP 2 8 PA° Bonding Company's Name (if applicable) Bonding Company's Address City State A Zip Mortgage Lender's Name (if applicable) Mortgage Lender's Address A7,7 City State ` �+ Zip Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRICAL WORK, PLUMBING, SIGNS, WELLS, POOLS, FURNACES, BOILERS, HEATERS, TANKS. and AIR CONDITIONERS, ETC OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. "WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person whose property is subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted at the job site for the first inspection . ' s seven (7) days after the building permit is issued. In the absence of such posted notice, the inspection wi .e approved an_.< inspection fee will be charged. 'Signature (Revised 02/08/06) Owner or Agent The foregoing instrument was acknowledged before me this Sr The foregoing instrument was acknowledged before me this day of 4 a , 20 OS, by :1;44, ...4.„ /oL day of , 20 , by who is personally known to me or who has produced who is personally known to me or who has produced as identification and who did take an oath. As identification and who did take th. NOTARY PUBLIC: 4OTAI?Y 1 11111.1C •STATE OF FLO Pt Michael Iwaskewycz 9 - . mmission # DD5 Sign: � ` l " u i ; -APR. 10, - n'c liO nding Co., Inc. Print: My Commission Expires: *********** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** APPLICATION APPROVED BY: ********************************** * * * * * * * * * * * * * * * * * * * * * * * * * * * * * ** Plans Examiner Engineer Zoning Signature NOTARY PUBLIC: -1/\.2 Contractor Sign: Print: My Commission Expires: - 41Kate: Si iI /0(0 ( *Owner's Name: ..0 I tO, lClv1 LVSe, Phone #: 0S/ 75q , Job Address (where the work is being done): City: Miami Shores Village County: Miami -Dade Zip: Is Building Historically Designated ?: YES NO Contractor's Company Name (if applicable): Phone #: All elements on the site must be listed and indicate the color to be minted Walls: /17 - /r'fG - JI Fascia: Gc> Drip Cap /Drip Edge: G Soffit: W 4- L Roof: i(14 Flower Bins: e(/`c, Shutters: Awnings: / �0 /it Chimney: [mot/ `t L- it Signature: Doors and Door Jams: 130, Garage Doors: Railings: A/ --- Fences: /v / Decorative Metal: G(/ cw All brick (simulated or regular): B'#* /7C ---// s' Stucco Banding: A. /AI Any other Stucco Features: ti' /Ii Accessory Buildings: Other: OWNER'S AFFIDAVIT: I certi at all the foregoing information is accurate and that all work will be done in compliance w applicabl aws re ulating construction and zoning. APPLICATION APPROVED BY: Miami Shores Village Paint Color Approval and Agreement # /6.3b gent Cr Z OFFICIAL Date: Sit/ /Ub Date: l `c (-'L * *MUST BE ATTACHED WITH PURPLE BUILDING APPLICATION ** Permit Number: PT -9 -06 -2312 Invoice Number: PT -9 -06 -26107 Applicant: JOHNATHAN ROSE Company Name: Owner Address: 1259 NE 98 ST MIAMI SHORES, FL 33138 Job Address: 1259 98 Street NE Miami Shores Village, FL 33138- Date Thursday, September 28, 2006 09/28/2006 Check Receipt Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL 33138 -0000 Phone: (305)795 -2204 Fax: (305)756 -8972 Payment Type Check Number 5043 Amount $67.30 Change $0.00 Total Payment: $67.30 Page 1 of 1 PAITING JAN 17 2001 l Inspector Comments Passed V Failed Correction Needed Re- Inspection Fee ($ No Additional Inspections can be scheduled re- inspection fee is paid . until ................. ................. ................. ................. IS ee Inspection Date: 01/16/2007 Inspector: Grande, Claudio Owner: ROSE, JOHNATHAN Job Address: 1259 98 Street NE Miami Shores Village, FL 33138- Project: <NONE> Inspection Worksheet Miami Shores Village 10050 N.E. 2nd Avenue Miami Shores, FL Phone: (305)795 -2204 Fax: (305)756 -8972 Contractor: COMPLETE HOME PAINTING BY MICHAEL Building Department Comments Block: Permit Type: Paint Inspection Type: Final Work Classification: New Phone Number Parcel Number 1132050090250 Lot: Phone: 305 - 895 -1368 Friday, January 12, 2007 Page 1 of 1 / p PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date / 00 L Job Address 1 q Tax Folio Legal Description Historically Designated: Yes No Owner/Lessee / Tenant / �VL liCec Vl (9.( Master Permit # 79 ply Owner's Address 1 7 c 1 Of- t g 9 Phone " J 7 5C1 - a774?, Contracting Co. O J/ll Address Qualifier SS# State # Municipal # Competency # Architect/Engineer Address Bonding Company Address 1/A Mortgagor Address Permit Type (circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FENCE SIGN WORK DESCRIPTION Square Ft. Estimated Cost (value) t 0(90 00 WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.) Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNERS Al r IDAVIT: I nmg. Furthermore, I a constructi Notary asp. ' Owner My Conunission Exp FEES: PERMIT APPROVED: Zoning Mechanical RADON ?auk k�� - e),c1ctivka.( foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating rize the above -named contractor to do the work stated. Signature of Contractor or Owner- Builder Date 7 C.C.F. NOTARY Notary as to Contractor or Owner- Builder Date My Commission Expires: BOND TOTAL DUE Building ((( Electrical Plumbing Structural Engineer PERMIT APPLICATION FOR MIAMI SHORES VILLAGE Date Job Address /217 /re 97 Tax Folio "1 io2L< e % Av/ 7 Legal e / O tat foititSt6iiiii Owner / Lessee / Tenant �%y �.2._ Master Permit #1390 Owner's g 6 — . ✓ Phone 7.1 //20 OS Signature of owner and /or Condo President Date: APPROVED: Address 2 PD /V 4' ,Dp Contracting Co. Qualifier SS# State # Municipal # Competency # 60P7/ 4411 Ins.Co./;4 4 ?/2 9, 1 Architect /Engineer Address Bonding Company Address Mortgagor Address Permit Type(circle one): BUILDING ELECTRICAL PLUMBING MECHANICAL ROOFING PAVING FEN ` SIGN WORK DESCRIPTION e_.5 cect_* C /,o�Ans f'GT LE Square Ft. 25 015- Estimated Cost(value) WARNING TO OWNER: YOU MUST RECORD A NOTICE OF COMMENCEMENT AND YOUR FAILURE TO DO SO MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY (IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT). Application is hereby made to obtain a permit to do work and installation as indicated above, and on the attached addendum (if applicable). I certify that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. I understand that separate permits are required for ELECTRICAL, PLUMBING, SIGNS, POOLS, ROOFING and MECHANICAL WORK. OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all applicable laws regulating construction and zoning. Furthermore, I authorize the above -named contractor to do the work stated. .AFB ' +'" . JOSEPHINE CMINCH -�•._- Signatu of C Date : / Notary as to Owner and /or Condo President y as to Cont = ' ><b 'e BU1 ublic ersorp y nown 1 roduced LD.1 .., My Commission Expires: My Co Ex p �ydr - � ( o f I.D. produced: ** * * * * * * * * * * * * V. DII* NOT rate an oarhDID rake an oarh, or * ** FEES: PERMIT .3 ?i, .579 RADON C.C.F. 5 . fly TOTAL DUE T NOTARY �/' Fire Other Y Zoning Building / 1 (I 7 Electrical Mechanical Plumbing Engineering 6--` 5O 6 0